Paul C Long, PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1056 Issued in TN

Practice address

6400 Lee Hwy
St 110
Chattanooga, TN 37421-2452

Phone

(423) 899-5081

Fax

(423) 490-0410

NPI assigned

May 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Focus Psychiatric Services PC

  • Mental Health Counselor
  • Chattanooga, TN
  • NPI 1538362850

  Clinical

  Medicare reassignment NPD
• Team Centers Inc

  • Psychologist
  • Chattanooga, TN
  • NPI 1992793012
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1710936026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374222487",
            "telephone_number": "423-899-5081",
            "fax_number": "423-490-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 LEE HWY",
            "address_2": "ST 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212452",
            "telephone_number": "423-899-5081",
            "fax_number": "423-490-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "PAUL",
        "middle_name": "C",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "1056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Kent Long, CCC-SLP
• Kristin Long
• Kyle Long, M.A., BCBA, LBA
• Lacreasha Long
• Maggie Catherine Long, BEHAVIOR TECHNICIAN
• Sarah A Long, LCSW
• Susan M. Long
• Valynne Long, MS, CGC
• Charles F Longer, M.D
• Sarah Longshore, OT

• Clinical Psychologist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.